Hatha Yoga, Yoga Nidra & Restorative registration

Which class are you interested in







Are you currently doing any sport or type of exercise?

If yes which

Why have you come to Yoga and what do you hope to gain from it?

Have you done Yoga before?

If yes, how long have you been practising for?

What style?

Have you ever practiced Pilates/Tai Chi/etc?

If yes, which?

Are you currently taking any form of medication?

If yes, please give details

Please give details of any medical conditions which might affect your Yoga practice

Have you suffered any injury or undergone any surgery (i.e. cesarean section, knee surgery, etc) which might affect your Yoga practice? If so, please give details

Do you have any allergies or dietary requirements:

If yes, what kind

How did you hear about the class?

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Other comments

Responsibility for my health - Online and In-person
By ticking this box I declare that as far as I am aware, I have disclosed to Yoga with Maryline all information regarding my health relevant to the practice of yoga and/or meditation. I take full responsibility over the health of myself in the yoga sessions (face-to-face or online) and for all applications of yoga I may practice outside the classes both now and in the future. I understand that any uses to which the recommendations, ideas and techniques are put are at my sole discretion and risk. Should there be any medical changes I will consult my doctor and inform Maryline as my yoga teacher

Covid 19 - In-person classes
By ticking this box I declare that I have read, understood and agree to abide by YogaSpirits Covid-19 policy and any updates as advised (link in website footer) I confirm that I attend classes entirely at my own risk and I hereby release, waive, discharge Yoga with Maryline from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any Yoga with Maryline activity that may lead to unintentional exposure or harm due to COVID-19.

Photography and Video - In-person classes
From time to time photographs and video footage of classes may be taken for use in my marketing. No compensation or fee may be claimed for this usage, and permission is always asked at the time.
Yes by ticking this box I consent to photos of myself (and where applicable my baby) being used in films and photographs in any and all media, now or at any time in the future.No by ticking this box I do not consent to photos of myself (and where applicable my baby) being used in films and photographs in any and all media, now or at any time in the future

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